Individual provider Active NPI

Anthony Dwayne Witherspoon, D.C.

  • Chiropractor
  • Byram, MS
National Provider Identifier
1841504644
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1167 Issued in MS
Practice address
7114 S Siwell Rd
Byram, MS 39272-8744
Phone
(601) 346-8197
Fax
(601) 346-8198
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1167 MS Primary

Addresses

Primary practice location

7114 S Siwell Rd
Byram, MS 39272-8744

Mailing address

7114 S Siwell Rd
Byram, MS 39272-8744
Phone (601) 346-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603001893 NC Practitioner - Chiropractic 6103011747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1167MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Community Chiropractic Center PastSince Mar 6, 2019 Accepting new patients
Taking Kare of Life Chiropractic Clinic Chiropractor Past Accepting new patients
Aopm, LLC Chiropractor PastSince Jun 23, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1841504644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728744",
            "telephone_number": "601-346-8197",
            "fax_number": "601-346-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728744",
            "telephone_number": "601-346-8197",
            "fax_number": "601-346-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "ANTHONY",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.